Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.78 / $6,340.39 / $11,627.00	Facility		$2,089.78	$6,340.39	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.78 / $2,089.78 / $4,108.63	Professional		$2,089.78	$2,089.78	$4,108.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.75 / $2,230.44 / $3,685.48	Professional		$1,698.75	$2,230.44	$3,685.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,820.11 / $1,820.11 / $2,650.33	Facility		$1,820.11	$1,820.11	$2,650.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,962.86 / $1,962.86 / $2,134.53	Professional		$1,962.86	$1,962.86	$2,134.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.36 / $2,507.06 / $4,003.67	Professional		$1,677.36	$2,507.06	$4,003.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,880.58 / $2,729.51 / $3,959.94	Professional		$1,880.58	$2,729.51	$3,959.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,827.59 / $2,565.46	Professional		$184.79	$1,827.59	$2,565.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,903.07 / $2,550.03 / $3,975.64	Professional		$1,903.07	$2,550.03	$3,975.64